MRS. JISHA MATHEW APRN
NPI 1205478724
Nurse Practitioner - Family in League City, TX

Q: What is Jisha Mathew's NPI number?

The NPI number for Jisha Mathew is 1205478724. It was assigned to this individual provider in the NPPES registry on October 16, 2019.

Q: What is Jisha Mathew's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jisha Mathew was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 16, 2019PECOS Enrolled

2911 S SHORE BLVD STE 190, LEAGUE CITY, TX 77573(281) 538-8188(281) 538-8189 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 21, 2026, Apr 13, 2026, Aug 31, 2022 and 2 more (5 updates tracked since 2019).

On this page

About Mrs. Jisha Mathew Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JISHA MATHEW APRN (NPI 1205478724) is an individual family provider in League City, Texas, licensed in Texas (1121908) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1205478724

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. JISHA MATHEWCredential: APRN

Location Address2911 S SHORE BLVD STE 190League City, TX 77573-3919

Mailing AddressPo Box 57845Webster, TX 77598-7845 · (281) 538-8188 · Fax (281) 538-8189

Phone(281) 538-8188

Fax(281) 538-8189

Sole ProprietorNo

Enumeration DateOctober 16, 2019

Last NPPES UpdateApril 21, 20265 updates tracked since enumeration

NPPES CertifiedApril 21, 2026

✔ NPI 1205478724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1121908

2911 S SHORE BLVD STE 190, League City, TX 77573

Open in Google Maps ↗

Secondary Practice Locations 4

Location 1600 N Kobayashi Ste 110Webster, TX 77598-4841 · Phone (281) 338-1701

Location 2905 W Medical Center Blvd Ste 102Webster, TX 77598-4009 · Phone (346) 688-0043

Location 3600 N Kobayashi Ste 309Webster, TX 77598-4841 · Phone (281) 724-8332

Location 4500 N Kobayashi Ste FWebster, TX 77598-4722 · Phone (281) 724-1860 · Fax (281) 724-1861

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jisha Mathew Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jisha Mathew reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Tree Health Clinic P A

Same address

Family Medicine

2911 S SHORE BLVD, SUITE 190
League City, TX 77573

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Family Tree Health Clinic PA
3 clinicians in this Medicare group

NPI 1205907987 (281) 538-8188

Cls Health PLLC

4.2 mi

Pulmonary Disease

500 N KOBAYASHI STE A
Webster, TX 77598

Reassigned Medicare billing, Texas enrollment
275 clinicians in this Medicare group

NPI 1750305355 (281) 724-1860

Clear Lake Primary Care PLLC

4.3 mi

Family Medicine

905 W MEDICAL CENTER BLVD STE 405
Webster, TX 77598

Reassigned Medicare billing, Texas enrollment
69 clinicians in this Medicare group

NPI 1861743247 (281) 724-1862

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77573 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.24 typical visit price

range $57.19 – $173.07

Typical copayment $22.06 (range $14.29 – $43.26)

Most-billed visit code 99203

Established Patient

$100.90 typical visit price

range $18.45 – $141.36

Typical copayment $25.22 (range $4.61 – $35.34)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KATRINA MARIE JACKSON PA-C

Physician Assistant